LARISSA FOMUM MUGRI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077400

License Status

EXPIRED

Business

Title

First Name

LARISSA

Last Name

FOMUM MUGRI

Business Name

LARISSA FOMUM MUGRI MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/30/2024